Cover image of the article: Anesthesia considerations in surgical deep brain stimulation for Tourette syndrome management

Image Credit:J Cell Mol Anesth

Anesthesia considerations in surgical deep brain stimulation for Tourette syndrome management

Authors

shayesteh khorasanizadehshayesteh khorasanizadeh ORCID1,*, Nima SaeediNima Saeedi ORCID2, Hamed Javadian3, Reza Jalil Khoshnood3, Alireza Zali3, Gholamreza MohseniGholamreza Mohseni ORCID1, Davood Ommi1, Houman TeymourianHouman Teymourian ORCID1
1Anesthesiology Research Center, Department of Anesthesiology, Shohada-e-Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2Anesthesiology Research Center Shahid Beheshti University of Medical Sciences, Tehran, Iran.
3Neurofunctional Research Center, Shohada-e-Tajrish, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
*Corresponding Author: Anesthesiology Research Center, Department of Anesthesiology, Shohada-e-Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Email: shayesteh_1343@yahoo.com

Journal of Cellular & Molecular Anesthesia:Vol. 5, issue 2; e149599
Published online:Mar 25, 2020
Article type:Case Report
How to Cite:khorasanizadeh S, Saeedi N, Javadian H, Jalil Khoshnood R, Zali A, et al. Anesthesia considerations in surgical deep brain stimulation for Tourette syndrome management. J Cell Mol Anesth. 2020;5(2):e149599. doi: https://doi.org/10.22037/jcma.v5i2.29473

Abstract

Tourette?s syndrome (TS) is a neuro-behavioral disease associated by phonic and motor tics with a high frequency of psychiatric co-morbidities. For these cases, deep brain stimulation (DBS) is a developing neuro-modulated treatment option since the first report on a successful surgery in 1999. A male thirty-one years old (77 kg, 178 cm) with diagnosis of Gilles De La Tourette syndrome admitted to neurosurgery ward. His medication included Aripiprazole, pimozide, buspirone, clomipramine, citalopram, phenytoin, Desmopressin and Lithium. The patient underwent implanting DBS (Deep Brain Stimulator) surgery and battery implantation in two steps with two weeks interval. General anesthesia with considerations and according to behavior of disease and drug interactions was performed. The cause and symptoms may be due to central dopaminergic hyperactivity or anomalous dopamine neurotransmission and interventions and anesthesia should be done considering these abnormalities.

Highlights

References

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    References are in the PDF file of the article.

Copyright

© 2020, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.

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